Av Med Work Values

Daily Duties at Av Med:

• Model physician group contracts in negotiation to determine impact of proposed rate changes on unit costs, including auditing current configuration and claims payment • Monitor performance of large physician groups in relation to expected cost and utilization trends • Develop ad-hoc reports for service representatives, providing claims adjudication detail for discussion • Provide oversight to two data analysts – assigning projects, monitoring progress and reviewing results before distribution • Perform claims payment reviews and develop scenarios for possible resolutions of disputed amounts, including responsibility for determining total dollars due and providing supporting data for resolution of payment disputes and law suits. • Perform contract reviews for compliance with contracting standards and resolve omissions and discrepancies with contracting reps • Coordinate efforts for ITNs, RFPs and RFIs, including initial review of responsibilities, follow-up and submission • Department liason to multi-departmental team planning for transition to ICD-10

What they like about Av Med:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

Team Leader, Performance Manager, Data Analyst, Contract Analyst, Microsoft Office, Supervisor, Operations manager

Skills

Presentation, Sales Support, Software Implementation, Leadership , Physican contract review, Data Analysis, Systems Analysis

These are some of the questions we asked our climbers about their experiences with Av Med: